Individual provider · Type 1 NPI

Kimberley Helen Odom, FNP

Family Nurse Practitioner · Meridian, ID

NPI number 1659806941 Active

Practice location

1550 N Crestmont Drive, Suite G
Meridian, ID 83642

Call (208) 629-2023 Map

Fax (208) 759-5840

Mailing address

1550 N Crestmont Dr Ste G
Meridian, ID 83642-2177

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X68579 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1659806941

Kimberley Helen Odom, FNP's National Provider Identifier is 1659806941, issued on Apr 25, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Meridian, ID. The record was last updated on Jun 20, 2024.